ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Vital signs:Temperature 36.2° C (97.2° F) Pulse rate 116/min Respiratory rate 24/min BP 102/68 mm Hg Oxygen saturation 95% Weight 52.2 kg (115 Ib
Question 1 of 5
A nurse in a provider's clinic is caring for a client who has diarrhea. The nurse is providing teaching for the client. Select the 4 instructions the nurse should include in the teaching.
Correct Answer: B, C, F, G
Rationale: The correct instructions are B, C, F, and G. Probiotic foods like yogurt can help restore gut flora. Avoiding alcohol and caffeine is important as they can worsen diarrhea. Drinking lots of fluids is crucial to prevent dehydration. High-calcium foods (
A) are not directly related to managing diarrhea. Eating raw vegetables (
D) may be hard to digest. Eating three large meals a day (E) may be too heavy on the digestive system.
Extract:
Question 2 of 5
A nurse is caring for a client who has a terminal illness and is approaching death. The client is short of breath and has noisy respirations from secretions in their airway. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Administer an anti-cholinergic medication. This medication helps reduce respiratory secretions, making breathing easier for the client. Turning the client every 2 hours (choice
A) is important for preventing bedsores but does not address the immediate respiratory distress. Holding oral care (choice
C) can worsen the secretions. Increasing room temperature (choice
D) does not address the respiratory issue. Other choices are not provided, but administering an anti-cholinergic is the priority to provide comfort and ease breathing for the client in this situation.
Question 3 of 5
A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client?
Correct Answer: A
Rationale: The correct answer is A: Make sure the client's room has at least six air exchanges per hour. This is important for a client post allogeneic stem cell transplant to reduce the risk of exposure to pathogens. The high air exchange rate helps maintain a clean environment and reduce the transmission of infections.
Choice B is incorrect because wearing a mask outside the room does not address the air quality within the client's room.
Choice C is incorrect as negative-pressure airflow rooms are typically used for clients with airborne infections, not for those post stem cell transplant.
Choice D is incorrect as wearing an N95 respirator is not necessary if the room has adequate air exchanges.
Question 4 of 5
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B. The nurse's priority is to determine the reasons why the client is refusing to use the incentive spirometer. By understanding the client's concerns or fears, the nurse can address them effectively. This approach promotes client-centered care and helps in creating a supportive environment for the client's recovery. Requesting a respiratory therapist (choice
A) is not the priority as the client's refusal needs to be addressed first. Documenting the client's refusal (choice
C) is important but does not address the underlying issue. Administering pain medication (choice
D) is not the priority as it does not address the client's refusal.
Question 5 of 5
A nurse is providing discharge instructions to a client who will be using a walker. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will hire someone to trim the tree that hangs low over the stairs of my front porch." This statement shows an understanding of safety precautions when using a walker. Trimming the tree will prevent any potential hazards or obstacles that could hinder the client's safe movement with the walker. Placing an extension cord (choice
A) can lead to tripping, placing the alarm clock across the room (choice
C) is not directly related to walker safety, and replacing a rug (choice
D) addresses a different safety concern. Hiring someone to trim the tree directly addresses the safety issue posed by the low-hanging tree branches, making it the most appropriate choice.